Metastatic Pathologic Fractures in Lower Extremities Treated with the Locking Plate / 대한골관절종양학회지
The Journal of the Korean Bone and Joint Tumor Society
;
: 80-86, 2010.
Article
in English
| WPRIM
| ID: wpr-166066
ABSTRACT
PURPOSE:
The skeleton is commonly affected by metastatic cancer. The purpose of this study was to evaluate the results of treating metastatic pathologic fractures in lower extremities using locking plates. MATERIALS ANDMETHODS:
Between 2004 and 2010, we evaluated 12 patients (13 cases) of metastatic pathologic fractures in lower extremities, treated with the locking plate. Mean patient age was 62.2 years (range, 50-81 years), the locations of the fractures were; proximal femur in 2 cases, femoral mid-shaft in 3, distal femur in 3, proximal tibia in 4, and distal tibia in 1 case. The interval to wheelchair ambulation, pain relief and complications were evaluated. Additionally, we assessed operation time and postoperative blood loss.RESULTS:
Mean time from operation to wheelchair ambulation was 3.2 days (range, 1-6 days). Mean VAS scores improved from a preoperative score of 8.1 points (range, 7-9 points) to a score of 2.7 points (range, 2-4 points) at 1 week postoperatively. No early complications associated with surgery were encountered. Mean operation time was 88.4 minutes (range, 70-105 minutes), and mean postoperative blood loss was 246.5 ml (range, 130-320 ml).CONCLUSION:
Internal fixation of metastatic pathologic fractures using a locking plate in the lower extremity can be an effective treatment option in the meta- or diaphyseal area of long bones with massive bony destruction or poor bone stock by offering early ambulation, pain relief and low postoperative complications.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Postoperative Complications
/
Skeleton
/
Tibia
/
Wheelchairs
/
Walking
/
Postoperative Hemorrhage
/
Lower Extremity
/
Early Ambulation
/
Femur
/
Fractures, Spontaneous
Limits:
Humans
Language:
English
Journal:
The Journal of the Korean Bone and Joint Tumor Society
Year:
2010
Type:
Article
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